Process Expert II

Elevance Health • Norfolk, VA

1d • Hybrid

About The Position

Process Expert II Medicare and/or Medicaid risk adjustment experience required. Location: Louisville, Kentucky Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Process Expert II supports a single operations department by participating in project and process work. How you will make an impact: Researches operations workflow problems and system irregularities. Develops tests, presents process improvement solutions for new systems, new accounts, and other operational improvements. Develops and leads project plans and communicates project status.

Requirements

• Requires a BA/BS and a minimum of 5 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment, and billing); or any combination of education and experience, which would provide an equivalent background.
• Medicare and/or Medicaid risk adjustment experience required.

Nice To Haves

• Ability to analyze workflows, processes, supporting systems, and procedures and identifying improvements strongly preferred.
• Base level Visio experience strongly preferred.
• Experience working with senior leaders preferred.
• Detail oriented, self starter experienced in working independently with minimal supervision preferred.
• Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Responsibilities

• Researches operations workflow problems and system irregularities.
• Develops tests, presents process improvement solutions for new systems, new accounts, and other operational improvements.
• Develops and leads project plans and communicates project status.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level